1. All of the following statements are true regarding the coding of glaucoma, EXCEPT:
A. When a patient has bilateral glaucoma and both are documented as being the same type and stage, report only the code for the type of glaucoma and one code for the stage
B. When a patient has bilateral glaucoma and each eye is documented as having a different stage, assign one code for the type of glaucoma and one code for the highest glaucoma stage
C. When a patient has bilateral glaucoma and each eye is documented as having a different type and a different stage, assign one code for each type of glaucoma and one code for the highest glaucoma stage
D. If a patient is admitted with glaucoma and the stage progresses during the admission, assign codes for both stages
The correct answer was: D
2. Patient has atherosclerosis of the right coronary artery due to severely calcified coronary lesion. How is this diagnosis coded?
A. 414.00
B. 414.01
C. 414.01, 414.4
D. 414.4
The correct answer was: C
3. Patient is diagnosed with Enteritis due to Shiga toxin-producing E. coli O157. How is this diagnosis coded?
A. 008.04
B. 041.41
C. 008.04, 041.41
D. 008.04, 041.4
The correct answer was: C
4. Patient had a laparoscopic cholecystectomy performed last week. Follow-up examination revealed a retained gallstone in the cystic duct. How is this diagnosis coded?
A. 997.41
B. 997.49
C. 997.4
D. 574.20
The correct answer was: A
5. Patient is diagnosed with depression and anxiety. How is this coded?
A. 300.4
B. 311
C. 300.00
D. 311, 300.00
The correct answer was: D
6. Patient is using marijuana on a long-term basis for medical purposes. How is this diagnosis coded?
A. 305.20
B. 305.21
C. V58.69
D. This is not coded
The correct answer was: C
7. The patient is a 35-year-old female who presents to the emergency room with complaints of nausea and vomiting. She was diagnosed as having gastric band infection. She received intravenous antibiotics during her hospitalization. What is the appropriate code assignment for the infection associated with gastric band erosion?
A. 996.59, 537.89
B. 539.01
C. 996.59
D. 537.89
The correct answer was: B
8. Patient is diagnosed as having “subacute deep vein thrombosis (DVT).” How is this diagnosis coded?
A. 453.40
B. 453.50
C. 453.9
D. 459.81
The correct answer was: A
9. Patient is admitted in an unconscious state following a motor vehicle accident. CT scan revealed a massive subdural hemorrhage and an EEG showed no brain activity. The physician documents “brain death.” How is the diagnosis of brain death coded?
A. 348.82
B. 348.89
C. 348.5
D. 348.1
The correct answer was: A
10. A patient with metastatic colon cancer developed pancytopenia following chemotherapy. The patient presents to the oncologist for follow-up. The oncologist listed chemotherapy induced pancytopenia in his final diagnostic statement. What code should be assigned for chemotherapy induced pancytopenia?
A. 284.1
B. 284.11
C. 284.12
D. 284.19
The correct answer was: B
11. Patient with coronary atherosclerosis was treated with a percutaneous transluminal atherectomy of the left anterior descending artery. How is this procedure coded?
A. 00.60, 00.40
B. 00.60
C. 17.55, 00.40
D. 17.55
The correct answer was: C
12. A 4-year-old patient with congenital pulmonary atresia is admitted for endovascular replacement of the pulmonary valve. How is this procedure coded?
A. 35.06
B. 35.07
C. 35.08
D. 35.09
The correct answer was: B
13. Ultrasonic debridement of a wound is classified to the code for ____________ debridement in ICD-9-CM.
A. excisional
B. nonexcisional
C. either excisional or nonexcisional
D. need additional information
The correct answer was: B
14. Patient is experiencing increasing shortness and breath and hemoptysis and is admitted for a bronchoscopy with biopsy. Brushings and washings were taken from the left lower lobe of the lung which revealed carcinoma. How is this procedure coded?
A. 33.22
B. 33.24
C. 33.26
D. 33.27
The correct answer was: B
15. Patient is admitted with a non-healing amputation stump and is treated with a DermaClose device. How is this procedure coded?
A. 86.59
B. 86.63
C. 86.75
D. 86.89
The correct answer was: A
16. Patient presents with ascites and an abdominal paracentesis, with imaging guidance, is performed. How is this procedure coded?
A. 49082
B. 49083
C. 49084
D. 49000
The correct answer was: B
17. Patient suffers from chronic thoracic back pain. He presents for a facet joint injection of a neurolytic agent at the T2-T3 joint with fluoroscopic guidance. How is this procedure coded?
A. 64633
B. 64633, 64634
C. 64630
D. 64640
The correct answer was: A
18. The physician providing initial observation care spends 55 minutes at the bed side and on the unit and the documentation shows a detailed history and detailed examination and medical decision making of moderate complexity. Which E/M code should be assigned?
A. 99218
B. 99219
C. 99220
D. 99226
The correct answer was: A
19. A 15-year-old patient presents for surgery for a surgical preparation and application of a skin substitute graft of both legs totaling 110 sq cm. What is the appropriate CPT code assignment (do not assign the HCPCS Level II code for the skin substitute graft)?
A. 15002, 15273
B. 15002, 15003, 15273, 15274
C. 15002, 15003, 15271, 15272 x 4
D. 15002, 15271, 15272 x 4
The correct answer was: B
20. Assign the code for endovascular placement of an intravascular vena cava filter with radiological supervision and interpretation.
A. 37191
B. 37619
C. 37192
D. 37191, 75825
The correct answer was: A
21. Which of the following conditions is a neurologic disorder which triggers involuntary frequent and uncontrollable outbursts of crying, laughing or both?
A. Pseudobulbar affect (PBA)
B. Postencephalitis syndrome
C. Postconcussion syndrome
D. Amyotrophic lateral sclerosis (ALS)
The correct answer was: A
22. True or False? Assign the Present on Admission indicator “Y” for all congenital conditions and anomalies.
A. True
B. False
The correct answer was: B
23. True or False? In ICD-9-CM, a “borderline” diagnosis is coded the same as an “uncertain” diagnosis.
A. True
B. False
The correct answer was: B
24. Medicare Administrative Contractors (MACs) process _____________ claims.
A. Part A only
B. Part B only
C. Part A and Part B
D. Part A, B, and C
The correct answer was: C
25. True or False? In reference to CPT coding, a multiple lead system is defined as a pacemaker or cardioverter-defibrillator that has pacing and sensing functions in two chambers of the heart.
A. True
B. False
The correct answer was: B
A. When a patient has bilateral glaucoma and both are documented as being the same type and stage, report only the code for the type of glaucoma and one code for the stage
B. When a patient has bilateral glaucoma and each eye is documented as having a different stage, assign one code for the type of glaucoma and one code for the highest glaucoma stage
C. When a patient has bilateral glaucoma and each eye is documented as having a different type and a different stage, assign one code for each type of glaucoma and one code for the highest glaucoma stage
D. If a patient is admitted with glaucoma and the stage progresses during the admission, assign codes for both stages
The correct answer was: D
2. Patient has atherosclerosis of the right coronary artery due to severely calcified coronary lesion. How is this diagnosis coded?
A. 414.00
B. 414.01
C. 414.01, 414.4
D. 414.4
The correct answer was: C
3. Patient is diagnosed with Enteritis due to Shiga toxin-producing E. coli O157. How is this diagnosis coded?
A. 008.04
B. 041.41
C. 008.04, 041.41
D. 008.04, 041.4
The correct answer was: C
4. Patient had a laparoscopic cholecystectomy performed last week. Follow-up examination revealed a retained gallstone in the cystic duct. How is this diagnosis coded?
A. 997.41
B. 997.49
C. 997.4
D. 574.20
The correct answer was: A
5. Patient is diagnosed with depression and anxiety. How is this coded?
A. 300.4
B. 311
C. 300.00
D. 311, 300.00
The correct answer was: D
6. Patient is using marijuana on a long-term basis for medical purposes. How is this diagnosis coded?
A. 305.20
B. 305.21
C. V58.69
D. This is not coded
The correct answer was: C
7. The patient is a 35-year-old female who presents to the emergency room with complaints of nausea and vomiting. She was diagnosed as having gastric band infection. She received intravenous antibiotics during her hospitalization. What is the appropriate code assignment for the infection associated with gastric band erosion?
A. 996.59, 537.89
B. 539.01
C. 996.59
D. 537.89
The correct answer was: B
8. Patient is diagnosed as having “subacute deep vein thrombosis (DVT).” How is this diagnosis coded?
A. 453.40
B. 453.50
C. 453.9
D. 459.81
The correct answer was: A
9. Patient is admitted in an unconscious state following a motor vehicle accident. CT scan revealed a massive subdural hemorrhage and an EEG showed no brain activity. The physician documents “brain death.” How is the diagnosis of brain death coded?
A. 348.82
B. 348.89
C. 348.5
D. 348.1
The correct answer was: A
10. A patient with metastatic colon cancer developed pancytopenia following chemotherapy. The patient presents to the oncologist for follow-up. The oncologist listed chemotherapy induced pancytopenia in his final diagnostic statement. What code should be assigned for chemotherapy induced pancytopenia?
A. 284.1
B. 284.11
C. 284.12
D. 284.19
The correct answer was: B
11. Patient with coronary atherosclerosis was treated with a percutaneous transluminal atherectomy of the left anterior descending artery. How is this procedure coded?
A. 00.60, 00.40
B. 00.60
C. 17.55, 00.40
D. 17.55
The correct answer was: C
12. A 4-year-old patient with congenital pulmonary atresia is admitted for endovascular replacement of the pulmonary valve. How is this procedure coded?
A. 35.06
B. 35.07
C. 35.08
D. 35.09
The correct answer was: B
13. Ultrasonic debridement of a wound is classified to the code for ____________ debridement in ICD-9-CM.
A. excisional
B. nonexcisional
C. either excisional or nonexcisional
D. need additional information
The correct answer was: B
14. Patient is experiencing increasing shortness and breath and hemoptysis and is admitted for a bronchoscopy with biopsy. Brushings and washings were taken from the left lower lobe of the lung which revealed carcinoma. How is this procedure coded?
A. 33.22
B. 33.24
C. 33.26
D. 33.27
The correct answer was: B
15. Patient is admitted with a non-healing amputation stump and is treated with a DermaClose device. How is this procedure coded?
A. 86.59
B. 86.63
C. 86.75
D. 86.89
The correct answer was: A
16. Patient presents with ascites and an abdominal paracentesis, with imaging guidance, is performed. How is this procedure coded?
A. 49082
B. 49083
C. 49084
D. 49000
The correct answer was: B
17. Patient suffers from chronic thoracic back pain. He presents for a facet joint injection of a neurolytic agent at the T2-T3 joint with fluoroscopic guidance. How is this procedure coded?
A. 64633
B. 64633, 64634
C. 64630
D. 64640
The correct answer was: A
18. The physician providing initial observation care spends 55 minutes at the bed side and on the unit and the documentation shows a detailed history and detailed examination and medical decision making of moderate complexity. Which E/M code should be assigned?
A. 99218
B. 99219
C. 99220
D. 99226
The correct answer was: A
19. A 15-year-old patient presents for surgery for a surgical preparation and application of a skin substitute graft of both legs totaling 110 sq cm. What is the appropriate CPT code assignment (do not assign the HCPCS Level II code for the skin substitute graft)?
A. 15002, 15273
B. 15002, 15003, 15273, 15274
C. 15002, 15003, 15271, 15272 x 4
D. 15002, 15271, 15272 x 4
The correct answer was: B
20. Assign the code for endovascular placement of an intravascular vena cava filter with radiological supervision and interpretation.
A. 37191
B. 37619
C. 37192
D. 37191, 75825
The correct answer was: A
21. Which of the following conditions is a neurologic disorder which triggers involuntary frequent and uncontrollable outbursts of crying, laughing or both?
A. Pseudobulbar affect (PBA)
B. Postencephalitis syndrome
C. Postconcussion syndrome
D. Amyotrophic lateral sclerosis (ALS)
The correct answer was: A
22. True or False? Assign the Present on Admission indicator “Y” for all congenital conditions and anomalies.
A. True
B. False
The correct answer was: B
23. True or False? In ICD-9-CM, a “borderline” diagnosis is coded the same as an “uncertain” diagnosis.
A. True
B. False
The correct answer was: B
24. Medicare Administrative Contractors (MACs) process _____________ claims.
A. Part A only
B. Part B only
C. Part A and Part B
D. Part A, B, and C
The correct answer was: C
25. True or False? In reference to CPT coding, a multiple lead system is defined as a pacemaker or cardioverter-defibrillator that has pacing and sensing functions in two chambers of the heart.
A. True
B. False
The correct answer was: B
I think the correct answer for #28 is B
ReplyDelete28????
Delete#18 answer is B and #19 answer is A????
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